Interactive Videoconferencing for collaborative learning at a distance in the school of 21st century: A case study in elementary schools in Greece

The aim of this paper is to present the design, implementation and evaluation of the methodology which focuses on the pedagogical utilization of Interactive Videoconferencing (IVC) in the contemporary elementary school.     

Laparoscopic cholecystectomy using ultrasonically activated coagulating shears

A 4-year-old girl with bilateral striatal oedema in association with an echovirus type 21 infection is reported. In the course of a prolonged upper respiratory-tract infection, the patient developed muscular hypotonia, resting tremor, ataxia, sleepiness, hyperaesthesia, and indistinct speech. T2-weighted cranial MRI revealed bilateral oedema of the basal ganglia and the cerebellar peduncles. At follow-up after 3 months MRI changes and clinical symptoms had fully resolved.     

Software Quality Management from a Cross-Cultural Viewpoint

This paper describes our attempts to look at how different cultures influence Software Quality Management (Siakas 1996; Mohamed Walaa-Eldeen and Siakas 1996). Quality of the software product cannot be determined until late in the development cycle. It is widely accepted that reliance has to be placed on process quality as a means of achieving product quality. In recent years software organisations have been making efforts concentrating on improving the process in order to improve software quality. Hofstede (Hofstede 1994) had defined four dimensions of work-related value differences for classifying cultural influences in different countries. These are: power distance, collectivism/individualism, femininity/masculinity and uncertainty avoidance. In this paper software development organisations are being assessed for their awareness and acceptance of Software Quality. These results will be correlated with the work-related values identified by Hofstede. The intention is to identify cultural factors, which may have a bearing on successful adoption and implementation of Software Quality Management. This revised version was published online in August 2006 with corrections to the Cover Date.     

Intraperitoneal normal saline infusion for postoperative pain after laparoscopic cholecystectomy

After laparoscopic surgery carbon dioxide remains within the peritoneal cavity for a few days, commonly causing pain. This prospective randomized study was performed to determine the efficacy of intraperitoneal infusion of normal saline on postoperative pain after laparoscopic cholecystectomy. Altogether 300 patients were randomly assigned to one of five groups of 60 patients each. Group A: control group, no peritoneal infusion, no subhepatic drain. Group B: no peritoneal infusion but a subhepatic closed brain was left for 24 hours. Group C: normal saline 25 to 30 ml/kg body weight at a temperature of 37 degrees C was infused under the right hemidiaphragm and left in the peritoneal cavity. Group D: normal saline in a room temperature was infused under the right hemidiaphragm and suctioned after the pneumoperitoneum was deflated. Group E: normal saline was infused and suctioned as in group D, but a subhepatic closed drain was left for 24 hours. Postoperatively, analgesic medication usage, nausea, vomiting, and pain scores were determined at 2, 6, 12, 24, 48, and 72 hours (during hospitalization and at home). Postoperative pain was reduced significantly (p < 0.001) in the patients of groups C, D, and E versus controls, whereas no difference was observed between groups A and B. Among groups C < D and E, group E (p < 0.01) had the best results followed by group D and then group C. Intraperitoneal normal saline offered a detectable benefit to patients undergoing laparoscopic cholecystectomy. The beneficial effect was better when the fluid was suctioned after deflation of the pneumoperitoneum and even better when a subhepatic closed drain continued fluid suction during the first postoperative hours.     

Empirical Measurement of the Effects of Cultural Diversity on Software Quality Management

The difficulties of achieving social acceptance for Software Quality Management systems have been underestimated in the past, and they will be exacerbated in the future by the globalization of the software market and the increasing use of cross-cultural development teams within multinational companies. Management that can take account of the cultural context of their endeavours will improve understanding, minimize risk and ensure a higher degree of success in improvement programs within the software industry.This paper addresses cross-cultural issues in Software Quality Management. Qualitative and quantitative research was carried out in five European countries by using a postal questionnaire. Empirical measures of organizational culture, national culture and their interdependence, are presented together with interim instruments developed for the purpose of classifying organizations. Verification of the statistical results from the survey was carried out by triangulation, which included qualitative research methods in the form of interviews and observation. Cultural factors, which may have bearing on successful adoption and implementation of Software Quality Management were identified, and an assessment model, has been developed for use by organizations developing software in different parts of the world. The intention is that the recommendations following from the assessment will lead to greater cultural awareness in addressing quality, and will provide stimulus for improvement. The model's aims is to predict to what degree there is a fit between the organizational and the national culture, and to give recommendations and guidelines for software process improvement.